Photograph by Samantha Reinders
A woman receives a contraceptive implant at a family planning clinic run by Marie Stopes International in the village of Ambohitsara, Madagascar. This may be her last opportunity to receive the implant.
Contraceptives are some of the most transformative innovations in global health. With access to contraceptives, women and girls can seek education, work and have children when they are ready - with fewer unintended pregnancies or unsafe abortions.
For years, foreign aid has paid for the vast majority of contraceptives for women living in Madagascar, one of the world's poorest countries. In 2017, Marie Stopes - which provides 80 percent of long-term contraceptives in Madagascar - and other organizations providing abortion services were stripped of their US government funding when US President Trump reinstated the "Global Gag Rule."